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efta-efta01379162DOJ Data Set 10CorrespondenceEFTA Document EFTA01379162
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DOJ Data Set 10
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efta-efta01379162
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EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
II, Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Name and fititt of Natural Peron ()porting Account;
Te.fg.,...r
1:uf v for Which tj-te Act:N.:urn st,tin.2 or„say,ed,
AL,
Coto° Iga 4 go oV.Qty
eg
s.k•
j US°
CDC) Sona_
c. Trat.followiril ; El fOrladt;011 IOT each indt'..tdual, any, who, dint :on; Ci indirectly. throuvi any contr
t, arrandanwit
understanding, telettonshinot other, Sse owns 25 percent or incite of the equity interests of the legal entity listed above;
feint?
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gor
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rx, e:PT sender
!Sop tsorrra•at.
ttlerrnthes
SIKUNI, %
' For mrirE.i.J.S. Pei ,r,t.s.
Se%tiriti;Nwtibes
C<.;too;
lauirmo. if
Å Art: icemtiT4x,eftlati~C4O! Ao<IND4r
toItleCtitOry Of issuance of or;•
govarnment.-•titier1 <ke4/Merl
itlithttlet ]<I4 blr.Iling Owe! gait of Wnilp nifewirs therwlei
WCoo<14"1
III r
inaritIbid
,11$
d. The following information for one individual with significant responsibility for managing the legal entity listed abase,
such as-.
• An e.'<ettitlye officer or senar manager teg., Chet Evecutere Officer, Chief Financier. Officer. Chief* Operating Ofticeg,
Managing Member, General Partnet. President, Vice President. Treasurer): or
• Any••›thilr axtividUal who regularly per
5;i-filler functiona
(If apprept late. an individual tistad under section (c) above may also be listed in this section (d)).
: Nave
a
art
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• r
t)^. ~1:.
StierrIGO Å.+. Sol:MI Str4Wil ilOroixT 5'04 Dan,.-Fmt %robe wzt?.C.ocw:;riogintion.x. mi.dset,
ar.a t-atroy ni rt loOrct .3f :to; other iwtootwz4tiorol
rIocaintom <.,4<kooroG niolorra
V it•SederiCII Jgd 1:calng A pAN.A‘plat or ?InIttir
fcl,;:ktM
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Foi
f.Ntrcine:
F3r Nor •US.i, eawit
•autd :Ays ter
"Seeissreett et, s'tetrtsietett
tensors
teStstal Sew sty '•
\bo t g3
-40—ce_
(reran of naturai person opening the aeCOurl)t hereby Cet ;icy. ta the bast of
—a.ts complete and correct.
tnets otiose, aunt sO. so nests iestireo.
)26.31:.i.ZY:irsta
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0076477
SDNY_GM_00222661
CONFIDENTIAL
EFTA01379162
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